Ohio Medicaid Announcements
The Ohio Department of Medicaid (ODM) recently announced that the projected go-live date for all of Ohio Medicaid’s next generation programs has been delayed until July 1, 2022. This includes the Medicaid Managed Care, OhioRISE, Single Pharmacy Benefit Manager, Fiscal Intermediary, and Provider Network Management/Centralized Credentialing programs. In addition, ODM announced that Buckeye Health Plan has been awarded a contract for the new Medicaid Managed Care program. Buckeye will join AmeriHealth Caritas, Anthem, CareSource, Humana, Molina Healthcare and UnitedHealthcare Community Plan as one of the State of Ohio’s managed Medicaid payor options. Partners For Kids intends to contract with all of Ohio’s managed Medicaid plans.
Published September 2021
More News & Updates
Provider Perspective: Partners For Kids and the Tools to Become a Better Physician
Learn how Partners For Kids helped give Kate J. Krueck, MD, the tools to practice medicine more effectively.
Partners For Kids Pharmacy Team
Partners For Kids has a pharmacy team with diverse experiences that can offer support through multiple modalities to help you optimize medication therapy for your patients.
Network Requirement For Primary Care
Learn how you can join the primary care providers that have already qualified for their 2021 incentive payments.
Partners For Kids Pharmacist Support
Learn about the services that Partners For Kids pharmacists can offer to your practice and learn more about our team members.
COVID Vaccine Toolkit for Community Primary Care Providers
Access multiple resources designed to support community Primary Care Providers who are preparing to administer COVID-19 vaccinations to their patients.
10 Tips for Obtaining Pharmacy Prior Authorizations More Efficiently:
Stay informed of coverage changes by using Partners For Kids coverage resources. Use Partners For Kids resources to determine if a medication can be switched to a covered medication or…
Seven Day Follow-Up And Discharge Planning Webinar
Listen to the recording of April’s webinar.
Tips for Obtaining Pharmacy Prior Auths
Review 10 tips that can help you practice efficiently obtain prior authorization for prescriptions for your patients.
Longer Half-Life Progestin-Only Contraceptive Pill Now Available
Learn more about drosperinone and the potential advantages it offers to your patients.
Patient Perspective: Advocating for a Family Through a Mental Health Crisis
Dawn Miller first met her care coordinator in the Nationwide Children’s Hospital inpatient psychiatric unit. Dawn’s daughter had been admitted for suicidal ideation, and Dawn felt shame that she had…
New Partners For Kids Immunization Report
Use Partners For Kids’ new Immunization Report to help your practice identify patients who are overdue or almost due for their vaccines.
Ways Care Coordinator Can Assist Children with Behavioral Health Complexities:
Support with connection to behavioral health outpatient services, including 3-way calls with the family and provider’s office, gathering details for what paperwork may be needed, and assistance with the intake…
Well Care Visits and BMI Assessment Lists
Learn how to use the patient outreach lists that will be sent to primary care offices in June.
Sports Physicals: An Opportunity to Increase Well-Care Rates This Summer
Utilize our June social media toolkit to educate patient families about sports physicals and well care.
Zantac 360°TM is NOT Ranitidine
Review information about Zantac 360°TM.
Behavioral Health Red Flag Series: Antidepressants
Children using behavioral health medications may have a high level of complexity and often see multiple health care providers. How can you identify and address “red flag” symptoms?
Potential Exposure of Ohio Medicaid Provider Information by ODM Vendor
Learn about the recent data breach and resources and suggestions for impacted providers.
Behavioral Health Red Flag Series: Anti-depressants
Read the first in a series of articles identifying “red flag” symptoms associated with medication-related adverse events.
Vaccination Payment Policy Update
Learn more about the Ohio Medicaid managed care plans’ extension of the temporary payment policy for childhood immunizations.
Behavioral Health Red Flag Series: ADHD Stimulant Medications
Children using behavioral health medications may have a high level of complexity and often see multiple health care providers. How can you identify and address “red flag” symptoms?
2021 Updated CDC Sexually Treatment Infection Guidelines
Review changes to the CDC's guidelines on sexually transmitted infections.
Update to Behavioral Health Incentive Plan
Learn how PFK is updating the taxonomies that qualify for the 7 day follow-up measure.
Updated CDC STI Treatment Guidelines
Review updated, evidence-based diagnostic, management and treatment recommendations for managing sexually transmitted infections.
Why Masks Should be on Your Back-to-School List This Fall
Access a blog post encouraging masking for students that your practice can share with patients and their families.
CareSource Provider Portal Enhancement for Prior Authorizations
Learn about the new ways CareSource’s Provider Portal supports the prior authorization process.
Muskingum Valley Health Centers Receives “We Get Results” Award
Muskingum Valley Health Centers (MVHC) received the “We Get Results” award for being accountable, determined and committed to constant improvement. Learn about their quality improvement and how they are getting results in well-visits and working through the pandemic. Read more.
Flu Resources
Flu season is just around the corner. View resources for your practice and for your patient families.
Flu Resources
Click here to access 12 resources for your staff, patients and their families.
COVID-19 Vaccine Incentive for Managed Medicaid Members
Access information to share with your patients regarding vaccination incentives.
Behavioral Health Red Flag Series: Antipsychotic Medications
Children using behavioral health medications may have a high level of complexity and often see multiple health care providers. How can you identify and address “red flag” symptoms?
Updated Prescribing Guidelines
The Prescribing Guidelines for Acne have been updated. Resource topics include: Treatment Goals; Treatment Considerations; Treatment Protocol The Prescribing Guidelines for Anxiety Disorders and Depression have been updated Resource…
ADHD 1.0 Understanding the Diagnosis & ADHD 2.0 Introduction to Practical Applications
ADHD 1.0 provided participants with information on evidence-based interventions for ADHD, types of intervention plans provided by schools and helped increase participant knowledge and ability to conceptualize ADHD. During the…
Behavioral Health Red Flag Series
Learn to identify and address “red flag” symptoms for your patients who are taking antipsychotic medications.
Behavioral Health Training Updates
Access resources for providers who care for patients with ADHD and check out the 2022 training topics that will be offered to behavioral health providers in the Partners For Kids network.
COVID-19 Webinar Recording Now Available
Watch “Back to School” The New Normal in Abnormal Times”.
Updated Prescribing Guidelines
See the latest prescribing guidelines on Acne, Anxiety Disorders and Depression and Gastroesophageal Reflux Disease.
Importance of Sleep and Sleep Management
Sleep is essential for children’s health and well-being. The quality and quantity of sleep a child gets each night affects their alertness, mood, neurodevelopment and can have an impact on…
COVID-19 Resources for Ages 5-11
Check out resources for your practice in regards to the authorization of the COVID-19 vaccine for children ages 5-11.
Partners For Kids Announces New Medical Director
Learn more about Dr. Mary DiOrio.
Partners For Kids Provider Satisfaction Survey
Review information about survey response rate and our network’s overall satisfaction with Partners For Kids services.
COVID-19 Vaccine Approved for 5-11 Year Olds
Access resources for your staff and patients.
COVID-19 Vaccine Administration Rate Increase
Learn how managed Medicaid payors will be reimbursing for the COVID-19 vaccine administration and how to code for these services.
Updated Prescribing Guidelines
See the latest prescribing guidelines for Head Lice.
Medication Coverage Changes Beginning January 1, 2022
There are a few medications that now require the brand name to be filled. Pharmacies may not realize they need to make a switch and your office may receive a…
2022 Project ECHO
Project ECHO has changed its format and has released its dates for 2022.
Partners For Kids Partnering with Centauri Health Solutions (Centauri)
Supplemental Security Income (SSI) is a Federal income supplement program designed to assist individuals that are both disabled and living in poverty. Starting in January of 2022, the monthly benefit…
Resources To Promote COVID-19 Vaccination Among Patients
Access a variety of resources to assist primary care providers in promoting vaccination to their patients.
2022 Partners For Kids Behavioral Health Education Calendar
Check out the 2022 education calendar. Register here through CloudCME.
2022 Project ECHO
Review the schedules and register for Project ECHO learning collaboratives geared toward Behavioral Health for Primary Care Providers and Obesity.
Partners For Kids Collaborating with Centauri Health Solutions
Learn how you can help patients who may be eligible for additional benefits through the Social Security Disability Insurance program.
2022 Network Requirement for Primary Care Providers
Qualifying Activities for the 2022 Network Requirement. Reminder, providers must participate in at least one of the following as a prerequisite for earning the 2022 incentives Participation in a PFK-sponsored…
CareSource Continuous Glucose Monitor Coverage Update
On November 15, 2021, CareSource announced changes to coverage of Continuous Glucose Monitors (CGM). Partners For Kids reiterated these changes in the December 2021 Newsletter update. CareSource has rescinded the…
Upcoming Events
Check out our upcoming events.
2022 Incentive Program Reminders
Find out how your practice can satisfy the primary care network requirement or behavioral health training requirement for the 2022 incentive year.
Reproductive Healthcare: Considerations for LGBTQ Youth
Review educational objectives and scheduling information for our next quarterly webinar.
Pediatric-Focused Unified Preferred Drug List Updated
Access the current version of this useful resource.
CareSource Continuous Glucose Monitor Coverage
Review the additional changes CareSource has made to its CGM policy.
Did You Know?
Learn how the Partners For Kids provider relations team can support your practice.